Individual
DR. JOSHUA NOLIN PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2088 NE WILLIAMSON CT, BEND, OR 97701-3760
(541) 382-3691
(541) 382-1217
Mailing address
2088 NE WILLIAMSON CT, BEND, OR 97701-3760
(918) 520-6003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6604
OK
1223G0001X
General Practice Dentistry
D10582
OR
Other
Enumeration date
06/02/2014
Last updated
11/03/2021
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